Research Article  |   May 2017
Expanding the Implementation of the Americans With Disabilities Act for Populations With Intellectual and Developmental Disabilities: The Role of Organization-Level Occupational Therapy Consultation
Author Affiliations
  • Caroline J. Umeda, PhD, OTR/L, is Doctoral Candidate in Rehabilitation Science, Department of Rehabilitation Medicine, University of Washington, Seattle; cumeda@uw.edu
  • Donald J. Fogelberg, PhD, OTR/L, is Assistant Professor, Department of Rehabilitation Medicine, University of Washington, Seattle
  • Tracy Jirikowic, PhD, OTR/L, FAOTA, is Associate Professor, Department of Rehabilitation Medicine, University of Washington, Seattle
  • Jennifer S. Pitonyak, PhD, OTR/L, SCFES, is Clinical Assistant Professor, School of Occupational Therapy, University of Puget Sound, Tacoma, WA
  • Tracy M. Mroz, PhD, OTR/L, is Assistant Professor, Department of Rehabilitation Medicine, University of Washington, Seattle
  • Roger I. Ideishi, JD, OT/L, FAOTA, is Associate Professor, College of Public Health, Temple University, Philadelphia, PA
Article Information
Advocacy / Pediatric Evaluation and Intervention / Professional Issues / Rehabilitation, Participation, and Disability / Health Policy Perspectives
Research Article   |   May 2017
Expanding the Implementation of the Americans With Disabilities Act for Populations With Intellectual and Developmental Disabilities: The Role of Organization-Level Occupational Therapy Consultation
American Journal of Occupational Therapy, May 2017, Vol. 71, 7104090010p1-7104090010p6. doi:10.5014/ajot.2017.714001
American Journal of Occupational Therapy, May 2017, Vol. 71, 7104090010p1-7104090010p6. doi:10.5014/ajot.2017.714001
Abstract

The Americans With Disabilities Act (ADA) provides standards and guidance for accessibility and accommodations that remove barriers to facilitate community social participation for individuals with disabilities. However, ADA implementation does not yet fully address the diverse access needs of people with intellectual and developmental disabilities (IDD), who continue to face barriers to community social participation. This article explores the potential for occupational therapy practitioners to provide organization-level consultation as a means of maximizing community social participation among people with IDD. Case examples of occupational therapy practitioners working with community organizations are presented to illustrate organization-level consultation that addresses access needs across diverse community contexts. The relevance of supporting community social participation within the context of health equity is discussed, and key next steps, including developing population-based outcome measures, addressing reimbursement considerations, and developing best practices for organization-level consultation, are outlined.